Leverage OS
PAYER CONTRACT NEGOTIATION

Negotiate like you
have the data.

Upload your payer contracts. We compare to every other payer's published rates. The leverage memo writes itself.

7–12%
average rate lift
$140K–$960K
annual gain per practice
14 days
memo timeline
First renewal
to ROI

From contract PDF to renegotiation memo in fourteen days.

No spreadsheets. No consultant retainer. No bluffing. Just your contract, the public TiC market, and a memo you can hand to your payer rep.

STEP 01
Upload

Drop your payer contract PDF. We extract every CPT, modifier, and rate. Encrypted, BAA-covered.

STEP 02 · LEVERAGE
AI analyzes

Compare every code to Transparency-in-Coverage data from every other payer in your market. Identify undermarket rates.

STEP 03
Get memo

Letter-paper PDF, payer-rep-ready. Code-by-code asks, market citations, projected lift, your name on the door.

SAMPLE MEMO EXCERPT

The deck your payer rep can't argue with.

Every ask is grounded in published market rates from the federal Transparency-in-Coverage dataset. No guesswork — your rep sees the same numbers their competitor publishes every month.

  • Code-by-code rate vs market median
  • Specific dollar ask + projected annual lift
  • Citations to public TiC files (your rep can verify)
  • Tone calibrated: firm, professional, not adversarial
CONFIDENTIAL · RENEWAL · 2026
LEVERAGE OS · CONTRACT INTEL MEMO
Re: Anthem Blue Cross of California — PT/Rehab Fee Schedule, Renewal 2026-Q4

Three codes, $187,000 of underpayment.

Per the Transparency-in-Coverage filings published by Anthem Blue Cross of California for the Sacramento metro region, the contracted rates on our PT/rehab fee schedule trail the market median (p50) on three high-volume codes by a material margin.

CPT
Practice rate
Anthem CA p50
Ask
97110
$28.40
$33.85
$33.50
97140
$26.10
$31.20
$30.80
97530
$32.75
$38.90
$38.50

At our current annual volume across these three codes (≈ 22,400 units), aligning to the published Anthem CA p50 generates an estimated $187,000 in net additional annual revenue. We are requesting these three rate adjustments take effect with the 2026-Q4 renewal.

Source: TiC in-network rate file · Anthem CA · 2026-04-01 · file id 026d…7ae

Pricing structured so we only win when you win.

A small upfront fee, then a slice of the increase you actually realize on renewal. No win, no slice.

STANDALONE
$399/contract
+ 5% of first-year increase, capped $25K
  • Full TiC-backed analysis
  • Letter-paper memo PDF
  • Talking-points cheat sheet
  • 14-day delivery
BEST VALUE
GROUP
$1,500/yr
Unlimited contracts · all payers · all codes
  • Everything in Standalone
  • Renewal calendar + reminders
  • Quarterly market refresh
  • No success fee
ENTERPRISE
Custom
MSO · DSO · multi-state groups
  • Dedicated negotiation strategist
  • Custom payer playbooks
  • Multi-state portfolio view
  • SOC 2 / HIPAA reports
BUNDLE

Get Leverage inside Practice OS Group

Five products, one operating system, one bill — $1,499/mo.

See Practice OS Group
LIVE INSIDE PRACTICE OS

Already an OS user? Leverage is the Renegotiation tab.

No separate login. No new vendor. Drop a contract, get a memo — billed as part of your Group plan.

Open Renegotiation in Practice OS
$ practice-os leverage --status
contracts.parser ready · 142 PDFs/min
tic.market.anthem-ca loaded · 4.2M rate rows
tic.market.bcbs loaded · 7.1M rate rows
tic.market.uhc loaded · 5.8M rate rows
memo.generator ready · 14d SLA
last 30d: 312 memos · avg lift 8.4% · median ROI $184K